Target intelligence / Profile preview

Calreticulin–CD91 complex (CRT–CD91 complex)

Target
CRT–CD91 complex
Molecular classification
Receptor complex, Pattern recognition receptor/ligand pair, Endocytic receptor, Soluble chaperone–membrane receptor complex
01

Overview

The Calreticulin–CD91 complex is formed when calreticulin, a chaperone protein that can translocate to the cell surface, binds to CD91 (LRP1), a transmembrane endocytic receptor on phagocytic cells. Calreticulin acts as an "eat me" signal on apoptotic or stressed cells, and CD91 serves as the receptor that recognizes this signal, facilitating the uptake (macropinocytosis) and clearance of dying cells. This interaction is crucial for tissue homeostasis, immune surveillance, resolution of inflammation, and the immunogenicity of some forms of cell death (especially in cancer). Disruption or dysregulation of this complex may contribute to diseases such as cancer and autoimmune disorders. While abundant data describe both calreticulin and CD91 individually, most mechanistic and disease associations reference their functional interplay rather than a distinct structural complex. The nomenclature "Calreticulin–CD91 complex" is valid for describing the ligand–receptor mechanism mediating clearance of dying cells, particularly in cancer immunology and tolerogenic pathways.

Other names
Calreticulin–CD91 receptor complexCRT–CD91 complexCalreticulin–LRP1 complexcC1qR–CD91 complex
02

Mechanism of action

Promotion of immunogenic cell death via surface exposure of calreticulin, which is then recognized by CD91 on phagocytic cells, triggering engulfment and cross-presentation of dying cell antigens. Stimulation of macropinocytosis through the ligation of calreticulin and CD91.

03

Biological functions

Immune response (recognition and clearance of apoptotic cells—"eat me" signal)Cell death (modulation of phagocytosis of dying cells—immunogenic cell death)Signal transduction (initiates macropinocytosis upon crosslinking/ligation)Protein folding (calreticulin chaperoning; less relevant to complex but important to the individual protein)
04

Disease associations

Cancer (implicated in tumor immunogenicity, colon cancer biology, immune clearance of dying tumor cells)Inflammation (regulation of apoptotic cell clearance, resolution of inflammation)Autoimmunity (potential involvement in immune tolerance)Other: wound healing (properties of calreticulin as a pro-healing agent)
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Safety considerations

Autoimmune risk: improper clearance of apoptotic cells could theoretically precipitate autoimmune phenotypesTumor immune escape: altered expression or function may enable tumors to evade immune clearance
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Interacting drugs

Anthracyclines (e.g., Doxorubicin)
07

Biomarkers

Surface exposure of calreticulin (on tumor cells after chemotherapy) as a biomarker for immunogenic cell death and potential responsiveness to cancer immunotherapy

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